Talent.com
Hawaii Licensed Review Nurse RN
Hawaii Licensed Review Nurse RNVirtualVocations • Ogden, Utah, United States
No se aceptan más aplicaciones
Hawaii Licensed Review Nurse RN

Hawaii Licensed Review Nurse RN

VirtualVocations • Ogden, Utah, United States
Hace 11 días
Tipo de contrato
  • A tiempo completo
Descripción del trabajo

A company is looking for a Preservice Review Nurse RN - Remote in Hawaii.

Key Responsibilities

Assess and interpret customer needs and requirements

Identify solutions to non-standard requests and problems

Review and validate clinical documentation to support determinations

Required Qualifications

Current unrestricted RN license in the state of residency

3+ years of RN experience in an acute setting

Advanced computer proficiency (Microsoft Word, Outlook, and Internet)

Flexible with work hours and open to weekend rotation schedule

3+ years of experience as an RN in utilization management (preferred)

Crear una alerta de empleo para esta búsqueda

Nurse Rn Review • Ogden, Utah, United States

Ofertas relacionadas
Bilingual RN - Multi-State Licensed

Bilingual RN - Multi-State Licensed

VirtualVocations • Ogden, Utah, United States
A tiempo completo
A company is looking for a Bilingual Registered Nurse (RN) to work from home starting on 11 / 10 / 2025.Key Responsibilities Provide telehealth and virtual care clinical triage assessments and health...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
New York Licensed RN Case Manager

New York Licensed RN Case Manager

VirtualVocations • Ogden, Utah, United States
A tiempo completo
A company is looking for a Field RN Case Manager.Key Responsibilities Manage and coordinate care for patients, ensuring adherence to care plans Conduct health-related assessments and facilitate ...Mostrar más
Última actualización: hace 4 días • Oferta promocionada
Florida Licensed Nurse Case Manager

Florida Licensed Nurse Case Manager

VirtualVocations • Ogden, Utah, United States
A tiempo completo
A company is looking for a Telephonic Nurse Case Manager to manage medical claims and coordinate care for injured workers. Key Responsibilities Provide telephonic case management in a Workers' Com...Mostrar más
Última actualización: hace 3 días • Oferta promocionada
Oregon Licensed Clinical Program Coordinator RN

Oregon Licensed Clinical Program Coordinator RN

VirtualVocations • Ogden, Utah, United States
A tiempo completo
A company is looking for a Clinical Program Coordinator RN, Medicare / Medicaid who will provide care coordination and case management services to members. Key Responsibilities Provide care coordi...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Oregon Licensed Clinical Review Nurse

Oregon Licensed Clinical Review Nurse

VirtualVocations • Ogden, Utah, United States
A tiempo completo
A company is looking for a Clinical Review Nurse - Prior Authorization.Key Responsibilities Review both prior authorization (PA) and inpatient (IP) requests Complete up to 20 authorization revie...Mostrar más
Última actualización: hace 28 días • Oferta promocionada
State Licensed Nurse Specialist

State Licensed Nurse Specialist

VirtualVocations • Ogden, Utah, United States
A tiempo completo
A company is looking for a Nurse Specialist, fully remote in the US.Key Responsibilities Review occupational health records and determine employee clearance for work Facilitate case management a...Mostrar más
Última actualización: hace 4 días • Oferta promocionada
Indiana Licensed Admission Nurse

Indiana Licensed Admission Nurse

VirtualVocations • Ogden, Utah, United States
A tiempo completo
A company is looking for an Admission & Discharge Registered Nurse.Key Responsibilities Conduct initial evaluations to determine patient needs and initiate care plans Collaborate with teams to e...Mostrar más
Última actualización: hace 4 días • Oferta promocionada
Oncology Nurse Navigator RN

Oncology Nurse Navigator RN

VirtualVocations • Ogden, Utah, United States
A tiempo completo
A company is looking for an Oncology Nurse Navigator.Key Responsibilities Meet with Members and caregivers to review treatment goals and address concerns throughout the cancer journey Guide and ...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
New York Licensed Behavioral Health RN

New York Licensed Behavioral Health RN

VirtualVocations • Ogden, Utah, United States
A tiempo completo
A company is looking for a Behavioral Health Clinical Case Manager RN - Telephonic - Remote in NY.Key Responsibilities Serve as primary care manager for members with complex medical / behavioral ne...Mostrar más
Última actualización: hace 4 horas • Oferta promocionada • Nueva oferta
Kentucky Licensed RN QA Manager

Kentucky Licensed RN QA Manager

VirtualVocations • Ogden, Utah, United States
A tiempo completo
A company is looking for an RN Quality Assurance Manager.Key Responsibilities Lead the development and execution of the clinical quality assurance program, including chart audits and provider fee...Mostrar más
Última actualización: hace 4 días • Oferta promocionada
New York Licensed Clinical Validation Nurse

New York Licensed Clinical Validation Nurse

VirtualVocations • Ogden, Utah, United States
A tiempo completo
A company is looking for a DRG Clinical Validation Nurse.Key Responsibilities : Perform clinical validation by ensuring diagnosis codes billed by the provider are supported within the medical reco...Mostrar más
Última actualización: hace 4 días • Oferta promocionada
State Licensed Utilization Review Nurse

State Licensed Utilization Review Nurse

VirtualVocations • Ogden, Utah, United States
A tiempo completo
A company is looking for a Utilization Review Nurse to join their Utilization Review team.Key Responsibilities Complete medical necessity reviews and level of care reviews using clinical judgment...Mostrar más
Última actualización: hace 12 días • Oferta promocionada
State Licensed Clinical Liaison

State Licensed Clinical Liaison

VirtualVocations • Ogden, Utah, United States
A tiempo completo
A company is looking for a Clinical Liaison.Key Responsibilities Manage the immediate referral response process to meet performance goals Conduct clinical assessments using electronic medical an...Mostrar más
Última actualización: hace 12 horas • Oferta promocionada • Nueva oferta
Florida Licensed Utilization Management RN

Florida Licensed Utilization Management RN

VirtualVocations • Ogden, Utah, United States
A tiempo completo
A company is looking for a Utilization Management RN.Key Responsibilities Monitor admissions and perform medical necessity reviews for initial and continued stays Collaborate with the multidisci...Mostrar más
Última actualización: hace 21 días • Oferta promocionada
Maine Licensed Utilization Review Nurse

Maine Licensed Utilization Review Nurse

VirtualVocations • Ogden, Utah, United States
A tiempo completo
A company is looking for a Utilization Review Nurse - Remote.Key Responsibilities : Review prior authorization requests for medical necessity and manage claims disputes Collaborate with healthcar...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Massachusetts Licensed RN Reviewer

Massachusetts Licensed RN Reviewer

VirtualVocations • Ogden, Utah, United States
A tiempo completo
A company is looking for an RN Utilization Management Reviewer.Key Responsibilities : Conduct pre-certification, concurrent, and retrospective reviews focusing on utilization management and care c...Mostrar más
Última actualización: hace 4 días • Oferta promocionada
Texas Licensed Clinical Admin RN

Texas Licensed Clinical Admin RN

VirtualVocations • Ogden, Utah, United States
A tiempo completo
A company is looking for a Behavioral Health Senior Clinical Admin RN - Remote.Key Responsibilities Provide members with tools and educational support to navigate the health care system Assist m...Mostrar más
Última actualización: hace 8 horas • Oferta promocionada • Nueva oferta
California Licensed Clinical Appeals RN

California Licensed Clinical Appeals RN

VirtualVocations • Ogden, Utah, United States
A tiempo completo
A company is looking for a Clinical Appeals RN to work remotely in the EST or CST time zone.Key Responsibilities Perform initial assessment reviews of appeals and medical records to determine cov...Mostrar más
Última actualización: hace 23 días • Oferta promocionada
Michigan Licensed Utilization Review Nurse

Michigan Licensed Utilization Review Nurse

VirtualVocations • Ogden, Utah, United States
A tiempo completo
A company is looking for a Michigan Utilization Review Nurse - LPN (100% Remote).Key Responsibilities Perform Utilization Review to determine the medical necessity of services for Michigan Auto N...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
New Hampshire Licensed RN

New Hampshire Licensed RN

VirtualVocations • Ogden, Utah, United States
A tiempo completo
A company is looking for an RN Medication Access Prior Auth Nurse for their Medication Clinic.Key Responsibilities Reviews and submits requests for medication prior authorization Retrieves presc...Mostrar más
Última actualización: hace 4 días • Oferta promocionada